Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,358.57 / $7,405.34 / $17,138.06	Facility		$4,358.57	$7,405.34	$17,138.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,289.32 / $36,459.75 / $36,459.75	Facility		$5,289.32	$36,459.75	$36,459.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,960.08 / $19,651.75 / $19,651.75	Professional		$5,960.08	$19,651.75	$19,651.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.46 / $713.38 / $2,821.04	Facility		$465.46	$713.38	$2,821.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.64 / $452.64 / $2,603.65	Professional		$452.64	$452.64	$2,603.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.50 / $631.91 / $3,384.75	Facility		$464.50	$631.91	$3,384.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $2,603.65 / $4,851.81	Professional		$147.51	$2,603.65	$4,851.81
United Facility/Professional Professional Modifier Low / Median / High Price $930.25 / $1,279.08 / $2,121.58	Professional		$930.25	$1,279.08	$2,121.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $465.47 / $594.48 / $832.41	Professional		$465.47	$594.48	$832.41